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The septa testis are fibrous partitions of the testis dividing the testis into compartments - the lobules of the testis. The septa are formed by extensions of the tunica albuginea - the dense fibrous connective tissue surface covering of the testis - into the substance of the testis. The septa converge towards the mediastinum testis. [1]
The tunica albuginea is a dense, [1] [2] blue-white [3] layer of fibrous tissue surrounding the testis. [1] [4] It is the middle of three envelopes forming the capsule of the testis; it is deep to the visceral layer of tunica vaginalis, and superficial to the tunica vasculosa testis (vascular layer of testis).
Segmental testis infarction in a patient presenting with right testis pain. Many other less common conditions can lead to testicular pain. These include inguinal hernias, injury, hydroceles, degenerative disease of lumbar spine, [10] disc herniations, [11] and varicoceles among others. Testicular cancer is usually painless. [12]
The lobules are conical in shape, the base being directed toward the circumference of the organ, the apex toward the mediastinum testis. Each lobule is contained in one of the intervals between the fibrous septa which extend between the mediastinum testis and the tunica albuginea , and consists of from one to three, or more, minute convoluted ...
This is about 5 to 10 years older than men with other germ cell tumors of the testes. In most cases, they produce masses that are readily felt on testicular self-examination; however, in up to 11 percent of cases, there may be no mass able to be felt, or there may be testicular atrophy. Testicular pain is reported in up to one fifth of cases.
Chronic testicular pain is long-term pain of the testes. [ 2 ] [ 3 ] It is considered chronic if it has persisted for more than three months. [ 1 ] Chronic testicular pain may be caused by injury , infection , surgery , cancer , varicocele , or testicular torsion , and is a possible complication after vasectomy . [ 2 ]
The septum of scrotum or scrotal septum [1] is an incomplete vertical wall that divides the scrotum into two compartments –each containing a single testis.It consists of flexible connective tissue and nonstriated muscle (dartos fascia). [2]
A nearly 100% salvage rate exists within the first 6 hours after the onset of symptoms; a 70% rate, within 6–12 hours; and a 20% rate, within 12–24 hours. Therefore, testicular torsion is a surgical emergency and the role of ultrasound is to differentiate it from epididymitis as both disease presents with acute testicular pain clinically.